Search Results (250)

Bioactive coatings are of great interest for orthopedic applications, as they combine mechanical stability with biological functionality. In this study, stainless steel discs were coated with 45S5 bioactive glass doped with 1.0 wt% samarium by spin coating, followed by surface functionalization with benfotiamine through spraying. This strategy integrates three components: a metallic substrate as a stable and inexpensive support, a bioactive glass layer with well-known osteogenic potential, and a superficial organic layer of benfotiamine, a lipid-soluble analog of vitamin B1 with higher bioavailability. Samarium doping was selected based on previously reported antimicrobial potential against clinically relevant staphylococci, while the rationale for benfotiamine functionalization derives from literature describing vitamin B1 derivatives with anti-resorptive and osteogenic activity. The coatings were characterized by scanning electron microscopy (SEM) and Fourier-transform infrared (FTIR) microscopy. Bioactivity was assessed by immersion in simulated body fluid (SBF), where phosphate bands indicated the formation of calcium phosphate phases (CaPs). Wettability tests showed a reduced contact angle after benfotiamine functionalization. Cytocompatibility was evaluated by LDH and MTT assays with MC3T3-E1 cells, suggesting overall biocompatibility and enhanced cell viability after 7 days for the benfotiamine-functionalized coatings. The present findings support a simple and cost-effective route to multifunctional coatings with potential relevance for future orthopedic applications. Full article

To evaluate the impact of different surface treatment regimens, Neodymium-doped yttrium orthovanadate (Nd: YVO4) laser, Toluidine blue (TB) activated Low-level laser therapy (LLLT), and Bioactive glass particles (BAGPs) on the surface roughness (Ra), surface morphology, and bond strength (BS) of Glass fiber posts (GFP) bonded to canal dentin. Forty single human rooted incisors with a closed apex were included. The endodontic treatment was performed, followed by post space preparation. Fifty-six GFP were sorted into four categories based on the conditioning method used (n = 14). Group 1: H₂O₂, Group 2: Nd: YVO4 laser, Group 3: TB-LLLT, and Group 4: BAGPs. Surface Ra and topographic changes were identified using a profilometer and Scanning Electron Microscopy (SEM). Post cementation was executed by utilizing self-adhesive resin cement. Analysis of BS and fracture pattern was performed using a universal testing machine and a stereomicroscope, respectively. Variance analysis with Tukey’s test was used to compare Ra and BS between the study groups at different root sections (p < 0.05). Group 2 (Nd: YVO4 laser) displayed the highest Ra scores (1051.54 ± 0.087 µm) and BS at all thirds. Whereas Group 3 TB-activated LLLT exhibited the lowest outcomes of Ra (539.39 ± 0.091) and BS at all three sections. Comparison among the investigated groups displayed that Group 1 (H₂O₂) and Group 2 Nd: YVO₄ exhibited comparable outcomes of Ra and BS (p ˃ 0.05). Nd: YVO₄ laser has the potential to roughen the surface of GFP, thereby enhancing its BS to resin cement Full article

Background/Objectives: Cutibacterium acnes is increasingly recognized as a relevant pathogen in orthopaedic implant-associated infections, yet treatment strategies remain largely empirical. With rising antimicrobial resistance and scarce data on drug interactions, optimizing targeted therapies is essential. This preclinical study investigated the efficacy and synergism of vancomycin (VA), gentamicin (GEN), and ceftriaxone (CTX) against two clinical phylotype IB strains from orthopaedic infections and the reference strain C. acnes ATCC 6919, using both in vitro and in vivo models. Methods: Minimum inhibitory concentrations (MICs) were determined using broth microdilution following BrCAST guidelines. Synergistic activity was assessed using the checkerboard assay and interpreted via fractional inhibitory concentration indices (FICIs). The in vivo efficacy of antibiotic combinations with bioactive glass S53P4 (BAG) was evaluated in the Galleria mellonella infection model. Results: All C. acnes strains exhibited uniformly low MICs. Synergistic activity was observed for CTX combined with GEN in strain 2 (FICI range 0.25–0.37), while partial synergy was detected for CTX with GEN in strain 1 (FICI ≈ 0.56–0.63), and for CTX combined with VA in the ATCC strain (FICI = 0.66). All other combinations demonstrated indifferent interactions. In the G. mellonella model, a high bacterial inoculum (OD₆₀₀ of 3.0) was needed to establish an infection. For all strains tested, the use of antibiotics in combination with BAG improved larval survival. For the clinical strains, the combination of CTX + GEN + BAG and BAG alone demonstrated greater efficacy in promoting larval survival. Conclusions: Acombination of a cephalosporin with an aminoglycoside, particularly when incorporated into a biomaterial matrix, enhances antimicrobial activity against both clinical and reference strains of C. acnes. Full article

Osteoarthritis (OA), the most common joint disease, is marked by cartilage degradation and chronic inflammation. While 45S5-bioactive glass (45S5-BG) is well-established in bone regeneration and has been suggested to exert immunomodulatory effects, its impact on OA chondrocytes remains largely unexplored. Therefore, this in vitro study investigated the effects of 45S5-BG microparticles (0.125 mg/mL) on chondrocytes derived from OA patients, evaluating its therapeutic potential in OA. Chondrocytes were cultured with or without 45S5-BG for 1 and 7 days. Gene expression of cartilage markers, cytokines, matrix metalloproteinases (MMPs), and toll-like receptors (TLRs) was analyzed by qPCR. Protein levels were assessed by ELISA. 45S5-BG stimulation significantly altered chondrocyte activity, inducing upregulation of IL-6, IL-1β, TNF-α, MMP-1/-3/-13, and TLR4. Expression of ACAN and COL2A1 was reduced, while COL10A1—a marker of chondrocyte hypertrophy—was significantly increased at day 1. These findings show a catabolic and pro-inflammatory shift in chondrocyte phenotype upon 45S5-BG exposure, showing no therapeutic benefit of 45S5-BG on OA chondrocytes. However, considering the pronounced effects on chondrocyte activity and the well-established bioactivity and biocompatibility of 45S5-BG, our findings suggest that modified BG formulations could be developed to enhance chondroprotective and anti-inflammatory properties, warranting further investigation in co-culture and in vivo models. Full article

The growing challenge of biofilm-associated infections in dentistry necessitates advanced solutions. This review highlights the potential of smart bioactive and antibacterial materials—bioactive glass ceramics (BGCs), silver nanoparticle (AgNP)-doped polymers, and pH-responsive chitosan coatings—in transforming restorative dentistry. BGCs reduce biofilms by >90% while promoting bone integration. AgNP-polymers effectively combat S. mutans and C. albicans but require controlled dosing (<0.3 wt% in PMMA) to avoid cytotoxicity. Chitosan coatings enable pH-triggered drug release, disrupting acidic biofilms. Emerging innovations like quaternary ammonium compounds, graphene oxide hybrids, and 4D-printed hydrogels offer on-demand antimicrobial and regenerative functions. However, clinical translation depends on addressing cytotoxicity, standardizing antibiofilm testing (≥3-log CFU/mL reduction), and ensuring long-term efficacy. These smart materials pave the way for self-defending restorations, merging infection control with tissue regeneration. Future advancements may integrate AI-driven design for multifunctional, immunomodulatory dental solutions. Full article

This study evaluated a light-cure orthodontic adhesive with the incorporation of bioactive glass particles and its effects on shear bond strength (SBS), adhesive remnant index (ARI), degree of conversion (DC), calcium release, and particle size distribution. Bioactive glass was added to the Transbond XT Adhesive (3M ESPE), resulting in five groups: TXT (0% wt of bioactive glass-incorporated—negative control); TXT20 (20% wt of bioactive glass-incorporated); TXT30 (30% wt of bioactive glass-incorporated), TXT50 (50% wt of bioactive glass-incorporated), and FLB (positive control—FL BOND II adhesive system with S-PRG particles, SHOFU Inc.). Data were analyzed with one-way ANOVA followed by Tukey’s test (α = 0.05). Quantitative SEM analysis confirmed submicron particle agglomerates (median equivalent circular diameter 0.020–0.108 µm). The TXT20 exhibited the highest values of degree of conversion (p < 0.05) (73.02 ± 3.33A). For SBS (in MPa): Control Group TXT—19.50 ± 1.40A, Group TXT20 18.22 ± 1.04AB, Group FLB 17.62 ± 1.45B, Group TXT30 14.48 ± 1.46C and Group TXT50 14.13 ± 1.02C (p < 0.05). For calcium release the group TXT50 2.23 ± 0.11D showed higher values (p < 0.05). The incorporation of distinct bioactive glass particle concentrations influenced the shear bond strength, degree of conversion, and calcium release. While the 50 wt% bioactive glass group exhibited the highest calcium release, both 20 wt% of bioactive glass group and the positive control group exhibited the highest degree of conversion without compromising the bonding strength. Full article

The CaO-SiO₂-P₂O₅ system is one of the main systems studied aiming for the synthesis of new bioactive materials for bone regeneration. The interest in materials containing calcium-phosphate-silicate phases is determined by their biocompatibility, biodegradability, bioactivity, and osseointegration. The object of the present study is the synthesis by the sol-gel method of biocompatible glass-ceramics in the Ca₂SiO₄-Ca₃(PO₄)₂ subsystem with the composition 6Ca₂SiO₄·Ca₃(PO₄)₂ = Ca₁₅(PO₄)₂(SiO₄)₆. The phase-structural evolution of the samples was monitored using X-ray diffraction analysis (XRD), Fourier transform infrared spectroscopy (FTIR), scanning electron microscopy (SEM), energy-dispersive spectroscopy (EDS), and surface area analysis. A powder (20–30 µm) glass-ceramic material containing fine crystalline aggregates of dicalcium silicate and plates of silicon-substituted hydroxyapatite was obtained after heat treatment at 700 °C. After heat treatment at 1200 °C, Ca₁₅(PO₄)₂(SiO₄)₆, silicocarnotite Ca₅(PO₄)₂(SiO₄), and pseudowollastonite CaSiO₃ were identified by XRD, and the particle size varied between 20 and 70 µm. The compact glass-ceramic obtained at 1400 °C contained Ca₂SiO₄-Ca₃(PO₄)₂ solid solutions with an α-Ca₂SiO₄ structure as a main crystalline phase. SEM showed the specific morphology of the crystalline phases and illustrated the trend of increasing particle size depending on the synthesis temperature. Effects of the glass-ceramic materials on cell viability of HL-60-derived osteoclast-like cells and on the expression of apoptotic and osteoclast-driven marker suggested that all materials at low concentrations, above 1 µg mL⁻¹, are biocompatible, and S-1400 might have a potential application as a scaffold material for bone regeneration. Full article

Background/Objectives: Gamma irradiation is a promising terminal sterilization method for nanoparticle-based biomedical systems. However, its potential effects on the physicochemical properties and biological performance of multifunctional nanomaterials must be carefully evaluated. This study aimed to assess the structural integrity, sterility, and cytocompatibility of magnetic nanoparticles (MNPs) and bioactive-glass-coated magnetic nanoparticles (MNPBGs), both based on magnetite (Fe₃O₄), after gamma irradiation. Methods: MNPs and MNPBGs were synthesized and subjected to gamma irradiation at 25 kGy, with additional doses explored in preliminary evaluations. Physicochemical characterizations were performed using XRD, TEM, SAED, and Raman spectroscopy. FTIR analyses were conducted on bioactive glass (BG) controls without magnetite. Sterility was evaluated via microbiological assays. Cytocompatibility and nitric oxide (NO) production were assessed using RAW 264.7 macrophages and Saos-2 osteosarcoma cells. Prussian blue staining was used to evaluate cellular uptake. Results: Gamma irradiation preserved the crystal structure, morphology, and size distribution of the nanoparticles. FTIR revealed only minor changes in the silicate network of BG, such as reduced intensity and slight shifting of Si-O-Si and Si-O-NBO bands, indicating limited radiation-induced structural rearrangement without affecting the material’s stability or cytocompatibility. Microbiological assays confirmed complete inhibition of microbial growth. All irradiated samples exhibited high cytocompatibility, with MNPBGs demonstrating enhanced biological responses. Notably, MNPBGs induced a more pronounced NO production in macrophages. Cellular uptake of nanoparticles by Saos-2 cells remained unaffected after irradiation. Conclusions: Gamma irradiation at 25 kGy is an effective sterilization strategy that maintains the structural and functional integrity of MNPs and MNPBGs. These findings support their safe use in sterile biomedical applications, particularly for bone-related therapies involving immunomodulation and drug delivery, with potential relevance for cancer treatment strategies such as osteosarcoma. Full article

Bioactive glass materials have been used for decades in orthopedic surgery, traumatology, and oral and maxillofacial surgery to repair bone defects. This study aimed to evaluate in vitro the survival and proliferation of MG63 human osteosarcoma-derived cells on S53P4 bioactive glass (BonAlive^® granules). Microscopic visualization was performed to directly observe the interactions between the cells and the material. Osteoblast-like cells were examined on non-adherent test plates, on tissue culture (TC)-treated plates and on the surface of the bioglass to assess the differences. Cell survival and proliferation were monitored using a CCK-8 optical density assay. Comparing the mean OD of MG63 cells in MEM on TC-treated plates with cells on BG, we detected a significant difference (p < 0.05), over each time of observation. The sustained cell proliferation confirmed the non-cytotoxic property of the bioglass, as the cell number increased continuously at 48, 72, 96, and 168 h and even did not plateau after 168 h. Since the properties of bioglasses can vary significantly depending on their composition and environment, a thorough characterization of their biocompatibility is crucial to ensure their effective and appropriate application—for example, during hip and knee prosthesis insertion. Full article

Cobalt is an essential trace element involved in key biological processes. It serves most notably as a component of vitamin B₁₂ (cobalamin) and a regulator of erythropoiesis. While cobalt deficiency can lead to disorders such as megaloblastic anemia, excess cobalt poses toxicological risks to the thyroid, cardiovascular, and hematopoietic systems. In recent years, cobalt ions (Co²⁺) have gained attention for their ability to mimic hypoxia and promote angiogenesis. This represents a crucial mechanism for tissue regeneration. Cobalt mediates this effect mainly by stabilizing hypoxia-inducible factor 1α (HIF-1α) under normoxic conditions, thereby upregulating angiogenic genes, including VEGF, FGF, and EPO. Experimental studies—from cell culture to animal models—have demonstrated cobalt-induced enhancement of endothelial proliferation, migration, and microvascular formation. Emerging evidence also indicates that Co²⁺-stimulated macrophages secrete integrin-β1-rich exosomes. These exosomes enhance endothelial motility and tubulogenesis independently of VEGF. Furthermore, cobalt-modified biomaterials have been developed to deliver cobalt ions in a controlled manner. Examples include cobalt-doped β-tricalcium phosphate or bioactive glasses. These materials support both angiogenesis and osteogenesis.This review summarizes current findings on cobalt’s role in angiogenesis. The emphasis is on its potential in cobalt-based biomaterials for tissue engineering and regenerative medicine. Full article

This systematic review aimed to evaluate the effectiveness of teriparatide (TP) in guided bone regeneration (GBR). An electronic search without language or date restrictions was performed in PubMed, Web of Science, Scopus, Scielo, and gray literature for articles published until June 2025. Inclusion criteria considered studies evaluating the effect of TP on bone regeneration, analyzed using SYRCLE’s Risk of Bias tool. Twenty-four preclinical studies were included, covering diverse craniofacial models (mandibular, calvarial, extraction sockets, sinus augmentation, distraction osteogenesis, segmental defects) and employing systemic or local TP administration. Teriparatide consistently enhanced osteogenesis, graft integration, angiogenesis, and mineralization, with potentiated effects when combined with various biomaterials, including polyethylene glycol (PEG), hydroxyapatite/tricalcium phosphate (HA/TCP), biphasic calcium phosphate (BCP), octacalcium phosphate collagen (OCP/Col), enamel matrix derivatives (EMDs), autografts, allografts, xenografts (Bio-Oss), strontium ranelate, and bioactive glass. Critically, most studies presented a moderate-to-high risk of bias, with insufficient randomization, allocation concealment, and blinding, which limited the internal validity of the findings. TP shows promising osteoanabolic potential in guided bone regeneration, enhancing bone formation, angiogenesis, and scaffold integration across preclinical models. Nonetheless, its translation to clinical practice requires well-designed human randomized controlled trials to define optimal dosing strategies, long-term safety, and its role in oral and craniomaxillofacial surgical applications. Full article

Bioactive glasses are known for their surface reactivity and ability to bond with bone tissue through the formation of hydroxyapatite. This study investigates the effects of substituting ultrapure water with natural geothermal waters from the Azores in the sol–gel synthesis of 45S5 and MgO-modified bioglasses. Using high-resolution X-ray photoelectron spectroscopy (XPS), we examined how the mineral composition of the waters influenced the chemical environment and network connectivity of the glass surface. The presence of trace ions, such as Mg²⁺, Sr²⁺, Zn²⁺, and B³⁺, altered the silicate structure, as evidenced by binding energy shifts and peak deconvolution in O 1s, Si 2p, P 2p, Ca 2p, and Na 1s spectra. Thermal treatment further promoted polymerization and reduced hydroxylation. Our findings suggest that mineral-rich waters act as functional agents, modulating the reactivity and structure of bioactive glass surfaces in eco-sustainable synthesis routes. Full article

This study evaluated the influence of drying time, application mode, and agitation on the micro-tensile bond strength (μTBS) of a novel mesoporous bioactive glass-containing universal adhesive (Hi-Bond Universal). Twelve experimental groups were established according to drying time (blot-dry, 10 s dry, or 20 s dry), application mode (total-etch or self-etch), and agitation (with or without). The μTBS test and failure mode analysis were performed for each experimental group (n = 20), and an adhesive interface was observed using field-emission scanning electron microscopy. The μTBS of all experimental groups was analyzed using a three-way ANOVA and Tukey’s honestly significant difference (HSD) post hoc test (α = 0.05). The total-etch mode yielded higher μTBS than the self-etch mode in the blot-dry and 10 s dry groups (p < 0.05). Agitation also significantly increased the μTBS in the blot-dry and 10 s dry groups for both application modes (p < 0.05). However, application mode and agitation had no effect on the μTBS in the 20 s dry group (p > 0.05). FE-SEM revealed longer and more uniform resin tags after agitation in the blot-dry and 10 s dry groups for both application modes. In conclusion, total-etch mode and agitation effectively increased the bond strength of mesoporous bioactive glass-containing universal adhesives. Full article

A novel bioactive glass–ceramic was developed using biogenic hydroxyapatite (BHA) synthesized from Rapana venosa (Black Sea) shells and monocalcium phosphate monohydrate [Ca(H₂PO₄)₂·H₂O] via solid-state synthesis. The prepared batches were obtained by combining BHA with SiO₂, B₂O₃, and Na₂O, melted at 1200 °C and melt-quenched in water to form glass–ceramic materials. Dense biogenic hydroxyapatite-based ceramics were successfully sintered at 1200 °C (2 h hold) using a 25 mass % sintering additive composed of 35 mass % B₂O₃, 45 mass % SiO₂, 10 mass % Al₂O₃, and 10 mass % Na₂O. Structural characterization was carried out using X-ray diffraction (XRD), Fourier-transform infrared spectroscopy (FTIR), and scanning electron microscopy (SEM). The resulting materials consisted of a well-defined crystalline hydroxyapatite phase [Ca₁₀(PO₄)₆(OH)₂] alongside an amorphous phase. In samples with increased SiO₂ and reduced B₂O₃ content (composition 3), a finely dispersed Na₃Ca₆(PO₄)₅ crystalline phase appeared, with a reduced presence of hydroxyapatite. Bioactivity was assessed in simulated body fluid (SBF) after 10 and 20 days of immersion, confirming the material’s ability to support apatite layer formation. The main structural units SiO₄, PO₄, and BO₃ are interconnected through Si–O–Si, B–O–B, P–O–P, and mixed Si–O–Al linkages, contributing to both structural stability and bioactivity. Full article

Background: Soft liners offer a cushioning effect that aids in the healing of inflamed mucosa and allocates the relevant load in the support area of prostheses, enhancing their fit and stability. This study looks at how strontium-infused phosphate bioactive glass affects a heat-cured acrylic-based soft liner, focusing on the surface hardness and the surface roughness of the material. Methods: One hundred soft liner specimens were produced, with fifty specimens being designated for surface hardness testing and fifty specimens for surface roughness testing. PBG*Sr was incorporated into the soft liner at the concentrations of 1 wt.%, 3 wt.%, 5 wt.%, and 7 wt.%. Surface hardness and surface roughness were evaluated with a digital durometer for Shore A hardness and a profilometer, respectively. Fourier transform infrared spectroscopy analysis and field emission scanning electron microscopy were employed. Results: The Shapiro–Wilk test demonstrated that the data adhered to a normal distribution, as the p-values were not statistically significant. Subsequently, for statistical analyses following the one-way ANOVA, Dunnett’s T3 post hoc test was employed for surface hardness, while Tukey’s post hoc test was used for surface roughness. The lowest hardness value was documented in the 7 wt.% subgroup (29.040 ± 0.070), followed by the 5 wt.% subgroup (30.97 ± 0.231), and the control (40.880 ± 0.473) had the highest hardness mean value. The 7 wt.% subgroup displayed the lowest value of Ra recorded, 0.489 ± 0.077 μm, while the control subgroup showed the highest, 1.994 ± 0.168 μm. FTIR analysis suggested that the domination of physical interactions according to the analyses with the FESEM led to improved surface morphology for the 7 wt.% PBG*Sr specimens. Conclusions: The 7 wt.% PBG*Sr specimens exhibited the lowest surface hardness, suitable for soft lining material, and improved the surface morphology of acrylic soft liners compared with the control and other concentrations. Full article